HMSA · 7 hours ago
Senior Revenue Analyst
Honolulu, HI
Full-time
Hybrid
Mid, Senior Level
$78K/yr - $153K/yr
5+ years expHMSA is focused on providing health insurance services, and they are seeking a Senior Revenue Analyst to manage financial revenue performance for their Government Programs plans. The role involves data extraction, analysis, and leading projects to ensure long-term business objectives are met within the Medicare Programs Finance department.
AssociationHealth CareInsuranceMedical
Responsibilities
Analyses and forecasts premium revenue, risk adjustment payments, and other revenue streams related to lines of business with minimal guidance
Interprets financial and enrollment data from internal and external sources, identifying opportunities and problems compared to anticipated outcomes
Evaluates financial data needs and identifies and implements solutions for program driving accurate coding and documentation to optimize revenue
Develops and maintains financial models to assess the impact of regulatory changes, enrollment trends, and market dynamics on revenue
Variance analysis: identify and explain variances between actual and projected revenue, providing actionable insights to leadership
Collaborates with actuarial, finance, compliance and operations teams to ensure accurate revenue recognition and reporting
Ensure all revenue analysis and reporting adhere to internal policies and regulatory guidelines, and recommends strategic alternatives
Develops, maintains, and analyzes appropriate documentation of desktop procedures for reconciliation and audit needs
Builds and maintains in-depth knowledge of revenue structures and regulations and conceptual knowledge of related activities
Recommends and implements process enhancements to improve the accuracy and efficiency of revenue analysis
Mentors junior analysts and may be assigned project lead requiring some resource planning assignments
Performs all other miscellaneous responsibilities and duties as assigned or directed
Qualification
Required
Bachelor's degree and five years of related experience; or an equivalent combination of education and related work experience
Strong presentation skills to peers, management and executive staff
Working knowledge of Medicare Advantage, Medicaid, and/or ACA revenue cycles for payers
Strong Working knowledge of claims, health plan financial data, and health industry structure
Advanced knowledge of Microsoft Office applications, including but not limited to Word, Excel, Outlook, and PowerPoint
Company
HMSA
HMSA is an insurance company that provides affordable health plans, employee benefits services and worksite wellness programs.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Rick Hopfer
Chief Information Officer
Recent News
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